Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER A KENNEDY DDS LLC
Active OrganizationJENNIFER A KENNEDY DDS LLC is a Dental Clinic organization located in MATTOON, Illinois. NPI 1992136345 is currently active in the NPPES registry. Verify at CMS.
Dental Clinic · MATTOON, IL
Registration Details
- NPI Number
- 1992136345
- Provider Type
- Organization
- NPI Issued
- Dec 11, 2013 (12.709713292619 yrs)
- Last Updated
- Dec 11, 2013
- License
-
019024517 (IL)
Practice Information
- Address
-
601 BROADWAY AVEMATTOON, IL, 619384340Browse IL providers · Browse ZIP 61938
- Phone
- 2172350556
- Fax
- 2172347243
- Primary Specialty
-
Dental Clinic
261QD0000X
Other Dental Clinic Organizations in MATTOON, IL
| Name | NPI |
|---|---|
| SARAH BUSH LINCOLN HEALTH CENTER | 1114198744 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.